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PRE 2010 DOCSSUBJECT R O. City of Fridley 15.8 91 AT THE TOP OF THE TWINS BUILDING PERMIT P ` RECEIPT NO ' COMMUNITY DEVELOPMENT DIV. `�: ------ r PROTECTIVE INSPECTION SEC. �� Q /y CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F158/2Q/8G JOB ADDRESS 6075 Woody Lane N.K. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 4 Moore Lake Hills SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Marie Garcia 6075 Woody Lane N.E. 571-5891 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Johnson's Remodeling Inc. 6201 Colfax North 561-3250 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑] ADDITION ElALTERATION ElREPAIR ElMOVE ElREMOVE 8 DESCRIBE WORK Construct a 25' x 121.Addition to Existing Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE-.PERMITS REQUIRED FOR WING, HEATING. PWMBING AND SIGNS., CTRfC . �3 'y e TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK iS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9,300 $4.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $57.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE .�-- 8- Z, ! - $14.25 $75.90 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT v� BLDG )NSP DA E SIGNATURE OF OWNER OF OWNER BUILDER) IOATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) --- OWNER: Q�[�yar•5��-• BUILDER:ADDRESS: ADDRESS: ADDRESS: TEL NO: �5 `I I sag ► TEL NO: i - �„- Construction Location STREET NO: (00'Z STREET: LOT: BLOCK: 4• ADDITION: �Lc � LS Corner Lot: Inside Lot: �� Setback: Sideyards: Applicant attach to this form t-wo Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Square. Feet: '300 Front: Square -Feet: Depth: I Z Height: Cubic Feet: d'0C-D Depth: Height: Cubic Feet: cj Type of Construction: 1 - Estimated Cost: $ To Be Completed: -60 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work -herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: 0, X A,.... PC, Stipulations: 0 SIGNATURE: )e 04 e - ,14zl Mr) x CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 S P --pairs & Alterations each add. $500.00 4.00 $ 1,SECH.�.\IGAL kARlt AIR: Furnace Shell &, Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU' 4.00 $ °?-placement of Furnace 7.00 $ P.epairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ J1M!M n IDT iu',T•ERR' SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ ' each addn. 50,000 BTU 4.00 $ Boiler only up.to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10:00 $ G.aS BURNER- frcrt 100,000 BTU to 199,999 BTU $10.00 $ (OVer 193,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st .3 Fixtures x $ 3.00 $ A2ditio nal Fixtures x $ 1.00 $ Gas Range to 199,000 BTU X. $10.00 $ AIR CONDITIONING $ VAN SYSTEMS $ Sec Fee Schedule V= See SYSTEMS $ ALTUNTIOaN'S & REPAIRS $ State Surcharge $ .50 TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL :1 -SP. 6 -A14 "L Date /� APPROVAL FOR PEP=T �f1 yS:«tiZUX FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 'Attached stack verification form Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work.in strict accordance with the City Codes . and rulings of the Department of Buildings, and hereby declares that alt the facts and representations stated in this application are,true and correct. idley, Minn. /d, l , 19 fro OWNER 6" C KIND OF BUILDING USED AS TO BE COMPLETED ABOUT /dtT E—® c� ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. - DESCRIPTION OF FU1LNACE/BU%.NER HEATING or POWER TS, Steam, Hot Water, Warm Ai No. Trade Name Size No.�� Capacity Sq. Ft. EDR BTU W-ro HP Total Connected load � � �-y7d Kind of Fuel BURNER - Trade Name Size No. 0 Capacity Sq. Ft. EDR BTU HP Company , 'Signed By xe1. No. 1 SUBJECT P City ®f Fridley 2 0 519 AT THE TOP OF THE TWINS BUILDING PERMIT P ECEIP _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. �� E CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/10/90 JOB ADDRESS 6075 Woody Lane N, E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mario/Lily Garcia 6075 Woody Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Thomas W. Storie Co. 4206 - 71st Avenue North., Brooklyn Center, MN 55429 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 560- 73 73 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW CIX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 121.x 24" Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface. driveway, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4x.285 $2.14 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT U E TO GIVE AUTH TY TO VIOLATE OR CANCEL THE P OVISI S 'NY OTHER STATE LOCAL LAW REGULATING CON- $72!00 ST C ON R T E PERFORMANCE O C NSTRUCIION. PLAN CHECK FEE TOTALFEE $ 7 14 WHEN ROPERLY AL D HI S, OUR PERMIT S ATU CONTRACTOR R/EUTFIORIZEDAGENT (DATE) • - A 4.� 2_ BLO INSP GATE SiGNATURE OF OW NER IIF OWN RBUILDERI IDATEI 1 NEW [ ] ADDN [ ] ALTS [ ] Construction Address - Legal Description: Effective 1/1/90 R-1 AND R-2 Building Permit Application f Owner Name & Address: U{ ckg- Y Z- ( L-" � �� C O �4 Tel . # Contractor: C) VA -P'- �.ti � �� r k Tel. # �6 � -q R,' Address: 2 C)<,- C) Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT A(�a; AREA: length Height Sq. Ft. �Qi hmmm AREA: length Width 2 Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner lot [ ] Inside Lot [ Ft. Yd Setback Side Yard Setbacks Type of Construction: ((, 0 � � f - ('G� �L � Estimated Cost: $ Approx. Completion Date: Proposed Driveway Width If New Is Desired Ft. $ $ Wic}th + 6' See Back Page DATE: D %� APPLICANT: Tel. # J-Co(f) `7 CITY USE ONLY Permit Fee $ e O C� Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOM S 11i"1 IATIONS : v 1. c�Zo � C'o l �x ►� . ---AfA G \S i [ ca 1 .1 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLFn ON EACH FLOOR Storlbs urinal fil l: T11 11,11. Shower Wash 7r Tmy $5.00 Floor Drain Auto, 1: Washer I Gas Range Water Heater Gas 1E. Basement .$7.00 $7.00 Sump/Receiving Tank $7.00 �11 ON M Water Heater —Electric 10 1 Water Heater —Gas** $10.'00 Floor I $10.00 Gas Dryer** $110100 Back Flow Preventer Required )Yes No Type $16.00 Floor Floor 3 PLUMBING FIXTURE RATEI' NO. RATE TOTAL New Fixtures $7.00 Old Opening, Now Fixture $4.00 Beer Dispenser $5.00 Blow Off Basin $7.00 Catch Basin Rain Water Leader .$7.00 $7.00 Sump/Receiving Tank $7.00 Water Treating Appliance .$10.00 Water Heater —Electric $7.00 Water Heater —Gas** $10.'00 Gas Range" $10.00 Gas Dryer** $110100 Back Flow Preventer Required )Yes No Type $16.00 ReInspection Fee $42.00/Hr-. ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS id J 1.5% of Value of Fixture or,AppliAnce State Surcharge $ 150 TOTAL FEES JOB ADDRESS d This undersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. ,1995 Owner1� ; C 6 (� o .� �� a IF/ Building Used As l /' ✓� d Cost PERMIT NO. l/ Estimate PLUMBING COMPANY a `' SIGNED I U k—II/ Approved B Rough—in Date Final Date "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. SUBJECT ..• "•P-RMIT NO-.-"-.'�--., of Fridley 24331 AT THE TOP OF THE TWINS BUILDING PERMIT --- RECEIPT NO. Ir?City t • COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC. r � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �.j 612-571-3450 910-F15 7/8/96 JOB ADDRESS 6075 Woody Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mario Garcia, 6075 Woody Lane, Fridley, MN 55432 571-5891 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyds Home Improvements, Inc., 1012 - 42 1/2 Ave., Mpls 55421 788-5602 1798 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Y] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Roof repair 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,650 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $1.65 STRUCTION OR THE PERFOR ANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $61.48 IZ AILENT tDATEI SIGNATURE OF CONTRACTOR OR AUTH Pr WHEN PROPEW VALIDATED THIS IS YOUR PERMIT / BL INSP DATE SIGNATURE OF OWNER uF OWNER BUILDER, (DATE, Effective 1/1/95 NEW CITY OF FRIDLEY ADDN [ ] ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6075 WOODY LANE NE Legal Description: Owner Name & Address: MARIO GARCIA Tel. # 571-5891 Contractor: LLOYDS HOME IMPROVEMENTS, INC. MN LICENSE # 1798 Address: 1012-42% AVE NE Tel. # 788-5602 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: LengthWidth Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner -Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Driveway Curb Cut Width Needed: _ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ e 00 $ )acs $ t 93 $ 5'0-6 $ $ $ - - bi --'" Side Yard Setbacks Estimated Cost: APPROX. 20 SQ. It (0 SU (Cost on Back) Ft. + 6 Ft = Ft x $ Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PWMIT City of Fridley 2600 AT THE TOP OF THE TWINS BUILDING PERMIT P � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. � VV _____ r PROTECTIVE INSPECTION SEC. NUMBERREV DATE PAGE Of APPROVED By CITY HALL FRIDLEY 55432 '•j 612-571-3450 910-F15 5/15/02 JOB ADDRESS 6075 Woody Lane ATE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mario Garcia 6075 Woody Lane NE 763-571-5891 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N STE 460, Brooklyn Park, MN 55445 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-391-8314 20039258 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 9 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit Insr 110n Cards 111 Be ally a T "®r18 Inns To Post' TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6,466 $3.23 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $139.25 Fire SC $6.47 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licen C $5.0 $153.95 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PROVALID D THIS IS YOUR PERMIT INS BATE S,GNATURE OF OWNERO6 OWNERSURDERI IDATEI NEW ADDN [ ] C-1 " 4 `CITE OF FRIDLEY _ [] ALTER [ J FAMILY AND DUPLEXES R-1 AND R BUILDING PERMIT APPLICATION ConstructionAddress: i�07 Effective 1/1/99 Legal Description: " Owner Name & Ad� e rpt Tel. # 743 )57/- 5S-51 Contractor: Crosstown North Business Gtr. # 4 MN LICENSE # Address: Suite 460 -6400 -69th Ave. North Tel. # (%3 ), 'l-E3I 0moklyn Park, MN 55445 Attach to this application, a Certificate of Survey of the —Ta&K c. OM -1ek' lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: "' Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ (�Lx'-f2'0 DATE: `'f /c � �� APPLICANT: Tel. # e" f 00 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $fir, CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ Building PLUMBING Permit No.• -0 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 n ' CITY OF FRIDLEY DATE I YOUR E-MAIL ADDRESS (n foe norlot . COYYU SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR Maurico Garcia PROPERTY NAME: 6075 Woody Lane OWNER/ ADDRESS: Fridley, MN 55432 ATE ZIP TENANT PHONE: 7635715891 CONTRACTOR NAME: STATE LICENSE # C% EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS• r 'CA / .S CITY ,' r1A94 /r STATE,&tA6 S _ LICENSE WITH , PHONE (61 Z) %27—,V-o_?3 FAX Z — APPLICATION 4 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW /XREPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should_reflect only.the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = =.FORXROJECTS WHERE LABOR EXCEEDM- 00, -FEES ARE BASED ON $10.00 PER FIXTURE; EXCEPT VU.I3ERE'NQ.TED :FI)CFU-REBS,, (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB GAS PIPING (xEm crrrucrosk) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK_ WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER -LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ Number of fixtures @ $35.00 x $35.00 = $ 36'.Oo TOTAL DUE $ State Surcharge = $ .50 Total = $ O THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is " not a permit but only an applic n for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case 1 ow r uires review and approval of plans. j SIGNATURE OF APPLICANTWt) lot PRINT NAME J g A4d i/d o, DATE I'M` -Z I':. ��` ' au' Z•. a ' Md Urg�c " r 3 �� r� ,a 5 �' � »,®.. �_ $ ..di..._ �` A.. S AMA,, 'c 9 ��a �I �. City of Fridley Building Inspections Department 6431 University .Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By:. q " 763-572-3604 FAX CITY OF FRIDLEY d-SFp 2 A inn 763-5024977 EFFECTIVE 1-1-M DATE (q- 2 y- 8 ef YOUR E-MAIL ADDRESS SITE ADDRESS O 7S 4,0 NE A2/ ell'E N #"A.J THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: 0�i#W -L 1I rS Si f CITY STATE ZIP PHONE: /6S- $-%0- S89/ CONTRACTOR NAME: -X:7' e— SUBMIT A COPY OF STATE LICENSE # c% S/S�,I44, 8 EXP DATE 01 I p YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 69& Wt 1644AI 0-01L� CITY SI' AAW4 % STAT*V ZIP !$/O,G INSURANCE PHONE 12 3 S/- 4 'V FAX '/G PROPERTY TYPE 0401 F /NEW CONSTRUCTION SIZE ❑ AMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK A SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION KMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: t SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, )Pmyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ! 2 6. oo OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $greernent necessary ( ) Non Necessary ( ) Total Dae $ Make checks savable to: City of Fridley Attach Stlsulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatiopA a permit and w is not to start without a permit on site; that the work will be in accordance with the approved plan in the case^ly6rl whicoTnjrejreyiew and approval of . , _ 1. 11 .11 �JCC) .wru;Jori)yJ-WQrt§MWA§L4W/4 tIII, WIw1 & ri UNI I%r PLEASE NOTE: SEPARATE PERMITS ARE RE40UIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK Building I MECHANICAL Inspections RESIDENTIAL SIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX SITE ADDRESS (.0`_7 N� THIS APPLICANT IS: ❑ OWNER PROPERTY NAME: OWNER/ ADDRESS: TENANT _ — CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION CONVANY NAME' v1.09 wal u ..vau..y v..... .. ..... ..... Plymouth130 CONTACT PERSON: IVI STATE LICENSE # R 17 8244W DATE ADDRESS: CITY PHONE FAX PERMIT TYPEKC INGLE FAriIILY 13TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ' O NEW ,REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PerInit No. Received By.A DaRECQ'dC F, TE ZIP FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES. (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MEG: MODEL- SIZF1BTU MFG: MODEL: yy�� ,.y�y�� S SUFJB V 701' MFG:. MODEL: 4C SEM/BTU $25.00 A (GAS) $15.00 RANGWOVEN $10. AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _GAS NEW GAS GRIL $10.00 —BOILER $35.00 $35.00 GAS UNIT HTR $10.00 CH[M NEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTII ATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of ty of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but onlyan appli for ape d ork is not to start with t a permit; that the will be in acro ance with the approved plan in the case o w rk ch wes ew and approval of p SIGNATURE OF APPLICANT NAME City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC _J NEW HOMES/ADDITIONS KEXISTING HOME Ll MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel tither than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW BIOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and mare -up air calculations. Building $ BUILDING See Back Page for Fee Schedule Permit No.: a' / / 7 Inspections -45394 RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604 .001 times the total job valuation CITY OF FRIDLEY $ Date Rec'd: M— 763-502-4977 FAX License Surcharge $ _�`. a o $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-09 1 DATE- Ct— Z YOUR E-MAEL ADDRESS i P l a M� L3�t� SITE ADDRESS �O�i S t - t-1 w ea. -C t V'n 0 $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR Park Fee PROPERTY OWNER/ NAME: lmL4 t P'- Fee Determined by Engineering TENANT ..rr__ ADDRESS: (OQ-1'5 W OD��I 1.1.1 gei' CrrY j �. l!� STATIJ OZZP 65 3Z Agreement necessary ( ) Non Necessary ( ) PHONE: i (0 3 --j S 4LOt i $ CONTRACTOR -11- p+ NAME: A SS A 5%A +JA' Rpt J a rsw— STATE LICENSE # 2 O y S !i to EXP DATE O/ D SUBMIT A COPY OF YOUR ^^fa n GSSG STAT)i�J ZIPv G ANDCERTIFICATEOF ADDRESS: Lt�el�l�t� f�� CTIYSi /�'�/ INSURANCE PHONE i — 3 N FAX PROPERTY TYPE GLE FAMIL 1NEW CONSTRUCTION SIZE CONSTRUCTION STORIES / PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH >CROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �j ,MAINTENAN P ❑ REMODELING DESCRIBE WORK BEING DONE: -Moe aoa SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING -07-7 ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES L• ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl D ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum Trim I. Site Plan/Survey showing the existing structures ❑ Other 13 Fascia 2. and proposed project Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ENG THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a- Z)"o OCCUPANCY TYPE Permit Fee $ ,Or�: . See Back Page for Fee Schedule Plan Review $ -45394 65% of Building Permit Fee Fire Surcharge $ -2, J 2) .001 times the total job valuation Surcharge $ tpeS- .0005 x Permit Valuation Minimum $.50 License Surcharge $ _�`. a o $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ . /A./5 Make checks oavable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work ' not to start without a permit on site; that the work will be in accordance with the approved plan in the case otALLWork which requires re iew and approval of per. _. i Z SIGNATURE OF APPLICANT I PLEASE NOTE: SEPARATE PERMITS ARE REOU 1rl;D FOR PLUMBING. ELECTRICAL AND MECHANICAL WORK I